Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review

The diagnosis and treatment of external invasive cervical resorption (EICR) could be a challenging clinical situation even for the most experienced dentists. It is a fairly rare lesion and a poorly understood phenomenon, and its insidious and aggressive nature can lead to tooth loss. Even in the era...

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Main Authors: Riccardo Aiuto, Gianluca Fumei, Erica Lipani, Daniele Garcovich, Mario Dioguardi, Dino Re
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/9620629
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author Riccardo Aiuto
Gianluca Fumei
Erica Lipani
Daniele Garcovich
Mario Dioguardi
Dino Re
author_facet Riccardo Aiuto
Gianluca Fumei
Erica Lipani
Daniele Garcovich
Mario Dioguardi
Dino Re
author_sort Riccardo Aiuto
collection DOAJ
description The diagnosis and treatment of external invasive cervical resorption (EICR) could be a challenging clinical situation even for the most experienced dentists. It is a fairly rare lesion and a poorly understood phenomenon, and its insidious and aggressive nature can lead to tooth loss. Even in the era of dental implants, trying to save a compromised tooth is imperative for any clinician. This report presents a case of an upper central incisor with a class II Heithersay EICR in which treatment was performed using a multidisciplinary approach and the defect was restored with resin composite. The surgery in which the defect was exposed and repaired was followed by an endodontic treatment and the placement of a fiber-reinforced post. In this case, the use of modern materials, such as resin composites, allowed not only the avoidance of tooth extraction but also the achievement of satisfactory aesthetic results. The 6-year follow-up demonstrated the success of therapy and the resolution of clinical symptoms. This case report highlights the importance of early detection of EICR and how composite resins could provide an effective and aesthetic restauration of the defect, which favors the health of the surrounding gingival tissue.
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spelling doaj-art-d8582b43e7b34aafad349a01f0c991992025-02-03T01:22:43ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/9620629Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature ReviewRiccardo Aiuto0Gianluca Fumei1Erica Lipani2Daniele Garcovich3Mario Dioguardi4Dino Re5Department of BiomedicalDepartment of Restorative Dentistry and EndodonticsDepartment of DentistryDepartment of DentistryDepartment of Clinical and Experimental MedicineDepartment of BiomedicalThe diagnosis and treatment of external invasive cervical resorption (EICR) could be a challenging clinical situation even for the most experienced dentists. It is a fairly rare lesion and a poorly understood phenomenon, and its insidious and aggressive nature can lead to tooth loss. Even in the era of dental implants, trying to save a compromised tooth is imperative for any clinician. This report presents a case of an upper central incisor with a class II Heithersay EICR in which treatment was performed using a multidisciplinary approach and the defect was restored with resin composite. The surgery in which the defect was exposed and repaired was followed by an endodontic treatment and the placement of a fiber-reinforced post. In this case, the use of modern materials, such as resin composites, allowed not only the avoidance of tooth extraction but also the achievement of satisfactory aesthetic results. The 6-year follow-up demonstrated the success of therapy and the resolution of clinical symptoms. This case report highlights the importance of early detection of EICR and how composite resins could provide an effective and aesthetic restauration of the defect, which favors the health of the surrounding gingival tissue.http://dx.doi.org/10.1155/2022/9620629
spellingShingle Riccardo Aiuto
Gianluca Fumei
Erica Lipani
Daniele Garcovich
Mario Dioguardi
Dino Re
Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review
Case Reports in Dentistry
title Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review
title_full Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review
title_fullStr Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review
title_full_unstemmed Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review
title_short Conservative Therapy of External Invasive Cervical Resorption with Adhesive Systems: A 6-Year Follow-Up Case Report and Literature Review
title_sort conservative therapy of external invasive cervical resorption with adhesive systems a 6 year follow up case report and literature review
url http://dx.doi.org/10.1155/2022/9620629
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